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M CITY OF ORONO * 2 0 1 6 — PJ 0 1 8 6 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 02/24/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1735 FAGERNESS PO[NT RD <br /> PIN : 17-117-23-22-0034 <br /> LEGAL DESC : MAPLEGATE INLET <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : ESCROW FEE-T[ED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW FOR DEMO PERMIT#2016-00187-PAID BY:TONEY WILLIAMS(CITYSCAPE PROPERTIES)-CK#1151 -$2,500.00 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> WILLIAMS,TONEY Payment(s) <br /> 1735 FAGERNESS PT RD CHECK 1151 2,500.00 <br /> WAYZATA,MN 55391- <br /> OWNER <br /> WILLIAMS, TONEY&CHRIS <br /> 1735 FAGERNESS PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of l80 days at any time afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. �� <br /> f ,� i <br /> � : _ <br /> r�`1Cc � �c c� �z � 7� ��.c -�. � �` ���f T.c ��� ;�' �� � ��► <br /> Applicant Permitee Signature Date Issued By� ignature Date <br />